Quote:
Originally Posted by swatsurgeon
Hextend......it has a role but for penetrating trauma, blood wins or nothing; Red and yellow can save a fellow, clear can kill at will.
Giving blood and plasma wins the day. IV fluid dilutes the remaining blood, dilutes the coagulation factors that remain and temporarily increases blood pressure which can pop a clot right off its stable position and doesn't hang out long at all.
Give one liter of saline and in 30 minutes only 300mL is intravascular. Which is why we try and preserve what's in the body the best we can.
Hex tend will stay intravascular longer but has no oxygen carrying capability; treating a number to get BP up but to what end???
ss
|
ss, thanks for the education as always
__________________
"we also rejoice in our sufferings, because we know that suffering produces perseverance; perseverance, character; and character, hope" Rom. 5:3-4
"So we can suffer, and in suffering we know who we are" David Goggins
"Aide-toi, Dieu t'aidera " Jehanne, la Pucelle
Der, der Geld verliert, verliert einiges;
Der, der einen Freund verliert, verliert viel mehr;
Der, der das Vertrauen verliert, verliert alles.
INDNJC
|